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Anxiety Sarah LaFontaine 11/10/26 Anxiety Sarah LaFontaine 11/10/26

What High-Functioning Anxiety Actually Costs You

High-functioning anxiety looks like competence and overpreparation, which is what makes it easy to minimize. Here's the real cost and why you needn't wait.

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High Achievers Sarah LaFontaine 11/3/26 High Achievers Sarah LaFontaine 11/3/26

How Therapy for High Achievers Is Different

High achievers present well and intellectualize, so surface therapy gets surface results. Effective work goes beneath the presenting problem at a safe pace.

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How Therapy Works Sarah LaFontaine 10/28/26 How Therapy Works Sarah LaFontaine 10/28/26

You're Not Broken. Your Nervous System Is Just Stuck.

If therapy hasn't worked, you're not too far gone. Your nervous system is running old survival patterns on outdated information. Stuck is not broken.

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Boundaries Sarah LaFontaine 10/27/26 Boundaries Sarah LaFontaine 10/27/26

How To Stop Over-Explaining Yourself

Over-explaining is a defense mechanism, not communication. It protects against an anticipated reaction. Here's where it starts and what actually changes it.

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How Therapy Works Sarah LaFontaine 10/20/26 How Therapy Works Sarah LaFontaine 10/20/26

Parts Work: Understanding Why You Do What You Do

Parts work treats the mind as a system of parts, each trying to protect you. Understanding them replaces self-criticism with curiosity, where real change starts.

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Boundaries Sarah LaFontaine 10/13/26 Boundaries Sarah LaFontaine 10/13/26

The Difference Between Being Caring and Being Codependent

Healthy caring comes from connection and choice; codependent caring comes from anxiety and compulsion. Here's how to tell the difference and where it comes from.

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How Therapy Works Sarah LaFontaine 10/6/26 How Therapy Works Sarah LaFontaine 10/6/26

What Is Polyvagal Therapy? (In Plain English)

Polyvagal Therapy works with your nervous system's three states, safety, fight-or-flight, and shutdown, giving it language and tools to find safety again.

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Body and Trauma Sarah LaFontaine 9/30/26 Body and Trauma Sarah LaFontaine 9/30/26

Why Your Body Keeps the Score (And What To Do About It)

Trauma is stored in the body, not just the mind, which is why talking about it isn't enough. Here's what keeping the score looks like and what actually helps.

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Body and Trauma Sarah LaFontaine 9/29/26 Body and Trauma Sarah LaFontaine 9/29/26

What Dissociation Actually Is

Most dissociation is quiet, not dramatic: zoning out, feeling unreal, blankness where emotion should be. Here's what it is, why it happens, and what to do.

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Trauma Sarah LaFontaine 9/25/26 Trauma Sarah LaFontaine 9/25/26

What Complex Trauma Is and How It's Different From PTSD

Complex trauma develops from repeated, prolonged experiences, usually in early relationships, not a single event. Here's how it differs from PTSD and why it's missed.

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How Therapy Works Sarah LaFontaine 9/22/26 How Therapy Works Sarah LaFontaine 9/22/26

What Is EMDR and How Does It Actually Work?

EMDR helps your brain finish processing experiences that got stuck, using bilateral stimulation. Plain-language explanation of what it is and who it helps.

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Trauma Sarah LaFontaine 9/22/26 Trauma Sarah LaFontaine 9/22/26

Signs You Experienced Childhood Emotional Neglect

Emotional neglect is defined by what didn't happen, so it's easy to miss even if your childhood looked fine. Here are the signs it leaves in adults.

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Burnout Sarah LaFontaine 9/15/26 Burnout Sarah LaFontaine 9/15/26

Why Burnout and Trauma Look Almost Identical

Burnout and trauma share a symptom picture but respond to different treatment. Here's why the distinction matters and how to tell which you're dealing with.

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High Achievers Sarah LaFontaine 9/8/26 High Achievers Sarah LaFontaine 9/8/26

The Cost of Being the Strong One All the Time

Being the strong one usually began as a survival calculation: strength keeps you safe, vulnerability is a liability. Here's what that role costs and what changes.

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Anxiety Sarah LaFontaine 9/8/26 Anxiety Sarah LaFontaine 9/8/26

What a Panic Attack Actually Is

A panic attack is your nervous system firing its threat alarm on a false alarm. Here's why telling yourself to calm down doesn't work, and what does.

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Getting Started Sarah LaFontaine 9/1/26 Getting Started Sarah LaFontaine 9/1/26

What To Expect in Your First Therapy Session

A first therapy session builds a foundation, not a deep dive. Here's what actually happens, what you don't have to do, and what to pay attention to.

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Getting Started Sarah LaFontaine 8/25/26 Getting Started Sarah LaFontaine 8/25/26

Common Myths About Trauma Therapy Keeping You Stuck

Trauma therapy doesn't mean reliving everything, and you don't need a dramatic story to qualify. Five common myths that may be keeping you from getting help.

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Boundaries Sarah LaFontaine 8/18/26 Boundaries Sarah LaFontaine 8/18/26

Why You Can't Stop Taking Care of Everyone Else

Compulsive caretaking usually started as an early survival strategy that never switched off. Here's where it comes from, what it costs, and how it changes.

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Anxiety Sarah LaFontaine 8/11/26 Anxiety Sarah LaFontaine 8/11/26

Why Smart People Struggle Most With Anxiety

Intelligence can make anxiety harder, not easier, because a fast mind is efficient at generating worry. Here's why insight isn't enough and what helps.

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Why Therapy Stalls Sarah LaFontaine 7/28/26 Why Therapy Stalls Sarah LaFontaine 7/28/26

What To Do When You've Tried Therapy and It Didn't Stick

If therapy helped a little and then wore off, the type of therapy and the fit both matter. Here's what lasting change actually requires.

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Rising Hope Counseling Services logo: a lighthouse with radiating beams above stylized waves alongside the business name

Providing virtual individual mental health therapy for adults living in Cambridge, MA, Providence, RI, Bridgeport, CT, Charleston, SC, Parkland, FL and surrounding areas.

Sarah LaFontaine, LMHC, LPC

Phone: (401) 618-4494

Email: contact@rising-hope.co

I help high achievers with complex trauma and health anxiety live a balanced life with confidence.

Schedule a consult

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